The effect of Cabrol in treatment of Stanford type A aortic dissection
10.7507/1007-4848.201810007
- VernacularTitle:Cabrol 手术治疗 Stanford A 型主动脉夹层的疗效评价
- Author:
YANG Jianguo
1
;
ZHAO Jinping
1
;
XU Ming
1
;
ZHANG li
1
Author Information
1. Department of Cardiology, Zhongnan Hospital of Wuhan University, Wuhan, 430070, P.R.China
- Publication Type:Journal Article
- Keywords:
Cabrol’s operation;
Stanford type A aortic dissection;
effect evaluation
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2019;26(7):670-673
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss the effect of Cabrol in treatment of Stanford type A aortic dissection. Methods The clinical data of patients whom were diagnosed with type A aortic dissection of Stanford in our hospital from January 2013 to January 2018 were retrospectively analyzed. All of 40 patients underwent Cabrol surgical procedure. There were 31 males and 9 females aged 26–75 (48.8±3.3) years. The surgical treatment effect of the patients was evaluated, mainly including the aortic index, the changes in cardiac function before and after operation, and the postoperative follow-up. Results All the 40 patients completed the operation successfully. The diameter of ascending aorta and aortic sinus in postoperative patients were smaller than those before operation (P<0.05). Postoperative left ventricular ejection fraction and cardiac output increased, central venous pressure and left ventricular end-diastolic dimension decreased, and cardiac function indexes were significantly different from those before the operation (P<0.05). Seven patients suffered complications in postoperative follow-up including one stenting leakage, three neurological diseases and three acute renal failure. Two patients died postoperatively. Conclusion Cabrol’s operation is effective in the treatment of Stanford type A aortic dissection, which can significantly improve the cardiac function of patients, simplify the anastomosis of coronary artery ostia and decrease amount of bleeding.
